Earning this item is one of the Medium Varrock Achievement Diary tasks.
If you have unlocked the entire Hub track, this item can be retrieved from the Quest Item Storage chest at the Quest Point Caravan if lost or destroyed. Otherwise, a new one can be obtained from Gertrude. Additional medals can be obtained by dropping one in front of her, then asking her for another one. This method can be repeated as many times as needed.
There is no need to keep this item, it is simply cosmetic. As such, it can be destroyed or kept as you desire.
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